An interventional study of thoracic drainage management in Chest Tubes, Pneumonectomy and Minimally Invasive Surgery, sponsored by Fujian Medical University Union Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-05-11.
Sponsored by Fujian Medical University Union Hospital · Not applicable, Interventional, and Treatment
There have been several reports on the feasibility of a no-drain policy after pneumonectomy, but the policy is not widely accepted because silent massive hemorrhage, delayed air leaks, and chylothorax would always be major worries for thoracic surgeons, and all of the researches were retrospective case studies with small sample size and insufficient evidence. Therefore, the purpose of this study is to to evaluate safety and feasibility of an improved policy, the application of a small thoracic puncture tube after pulmonary lobectomy.
This study will be accepted in patients with uniportal VATS(Video-assisted Thoracoscopic Surgery）lobetomy. A randomized controlled study protocol will be used, and The patients will be devided into two groups: experimental group for the application of a small thoracic puncture tube and control group for the application of Combination of the puncture tube and traditional silicone tube. The intraoperative conditions, postoperative recovery and the incidence of perioperative complications will be compared. The safety and feasibility of the application of the small thoracic puncture tube after pulmonary lobectomy will be evaluated.
Fujian Medical University Union Hospital is the lead sponsor of 100 studies on the registry; 72 are open to participants now.
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Exclusion Criteria:
After the operation, the traditional traditional silicone tube which placed through the surgical incision was removed in the operating room, and the small puncture tube was retained for thoracic drainage.
Procedure: thoracic drainage management
Routine thoracic drainage management measures were adopted, that is, both of the small puncture tube and traditional silicone tube were retained after surgery.
After uniportal VATS pulmonary lobectomy, the traditional silicone tube which placed through the surgical incision was removed in the operating room in the experimental group.
Incidence of postoperative complications
The incidence of complications within 30 days after surgery in each arm
Time frame: within 30 days after surgery
Incidence of subcutaneous emphysema after operation
The incidence of subcutaneous emphysema after operation in each arm
Time frame: within 30 days after surgery
Incidence of postoperative pneumothorax
The incidence of postoperative pneumothorax in each arm
Time frame: within 30 days after surgery
This study is status unknown, as verified in May 2021. You cannot join it, but the record below documents what was studied.
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Fujian Medical University Union Hospital